The skin around the eyes is highly complex and delicate. It is much thinner than the rest of your skin, making it more susceptible to issues. While skin cancer on the eyelids is rare, it does occur. It can be challenging to treat due to the role the skin in the area plays in your vision and facial expressions. The safest and most effective treatment option is Mohs surgery. It removes cancer cells with precision while preserving as much healthy tissue as possible. Once the cancer cells are removed, many patients need eyelid reconstruction surgery. This is necessary to restore the natural shape of the eye, protect it, and ensure proper eyelid movement. If you need treatment, you may wonder, what is the recovery time for Mohs surgery on the eyelids?
What Is the Recovery Time for Mohs Surgery on the Eyelids?
Each patient is uniquely different, so the recovery time varies. The size of the tumor, the extent of reconstruction needed, and your general health are major factors. How well you follow the aftercare instructions also impacts the recovery timeline after eyelid skin cancer reconstruction. Most patients recover within two to four weeks. However, full recovery can take months as scars heal and swelling resolves.
Immediately After Surgery
The first few days after surgery, you will notice swelling, redness, and bruising. These symptoms impact the surgical site and surrounding areas. This is completely normal and should gradually subside over the next few weeks. You may also experience mild to moderate discomfort. This is easily managed with over-the-counter pain medication. A cold compress can also help reduce swelling and related discomfort.
To ensure optimal recovery, keep the surgical site clean. Follow your ophthalmic plastic surgeon’s aftercare instructions exactly. In addition to caring for the surgical site, focus on rest. Avoid bending over, heavy lifting, or strenuous activity. Resting as much as possible can improve your surgical outcomes and recovery period.
Days 4-7 Post-Surgery
Swelling and bruising often peak around the third day. You should notice both subsiding within this period of your recovery. You can continue to use over-the-counter medication if you experience discomfort. However, most patients do not feel a lot of discomfort by this point. Talk with your surgeon if your pain is the same or worsens.
Continue to care for the surgical site wound. In many cases, you can transition to gentle cleansing and applying antibiotic ointment. Stitches are often still in place to improve wound healing. While you should still focus on rest, light activities are okay during this phase of recovery. Light walking can help promote blood flow and improve healing. Avoid touching or rubbing your eyes. Use sunglasses to protect your eyes from the sun and environmental irritants if you go outdoors.
Week 2 Post-Surgery
The second week after surgery is much easier than the first week. Your symptoms will gradually subside, and you will start feeling like yourself again. Stitches are generally removed by the second week. When they are removed, the incision site may look pink or slightly raised.
Continue to apply the prescribed ointment or gel to the incision site. This is necessary to reduce the appearance of scarring. It is also beneficial in promoting healing. Many patients go back to work and partake in social activities by this point. Be sure to listen to your body and get clearance from your surgeon. You may have some residual swelling and bruising at this point, but it should gradually subside within the next two weeks.
One Month Post-Surgery
One month after surgery, you should be back to your daily routine with ease. Each patient is uniquely different, but you should notice that your symptoms nearly fully subside. You may have some residual swelling, but it will continue to decrease. Dark bruising should be entirely gone. However, you may have some residual yellowish bruises. The shape of the eyelid should begin to normalize.
To reduce the risk of hyperpigmentation and scarring, use sun protection daily. Even if you do not go outdoors, it is necessary to use at least SPF 30. Avoid the sun during peak hours. If you do go outside, wear glasses and a wide-brimmed hat for additional protection. Most patients can get back to their normal exercise routine. However, avoid high-impact sports that can cause trauma to the eyes.
Do I Need Mohs Surgery?
Eyelid cancer can develop gradually and be difficult to detect in the early stages. However, early diagnosis is critical to stop the cancer from spreading. If left untreated, it can spread to nearby tissues or other parts of the body. It is important to be diligent about checking your skin for any changes. There are several warning signs that warrant immediate medical evaluation.
- Changes in color, size, or texture of the skin
- Persistent lump, sore, or lesion on the eyelid that does not heal
- Loss of eyelashes in the affected area
- Recurring bleeding, crusting, or irritation
If you experience any of these symptoms, it is important to get evaluated right away. Even small lesions can cause significant damage if left untreated. The eye is extremely delicate and has several complex structures nearby. This includes the eye itself, tear ducts, and surrounding skin. Mohs surgery is the most effective treatment option for eyelid cancer. The technique is preferred as it removes the cancerous cells while preserving the healthy surrounding tissue.
Top Ophthalmic Plastic Surgeon
If you have noticed any unusual bumps, sores, or changes in your eyelids, contact an ophthalmic plastic surgeon. A skilled ophthalmic plastic surgeon experienced in Mohs surgery can evaluate the changes. During the consultation, the surgeon will thoroughly examine the area around your eyes. They will provide a personalized treatment plan based on their evaluation. Be prepared to discuss any changes in your eyes and when they occurred. Communicating your symptoms can help inform the surgeon of what may be going on.
If you experience any concerning symptoms, contact the team at InFocus Ophthalmic Plastic Surgery today to schedule your consultation!